Case Challenge

Stephen J Pomeranz

Gain confidence interpreting Musculoskeletal (MSK) MRI Cases w/ MRI Online. Quiz yourself using real-world, interactive scrollable cases & earn CME!

Case Review

Musculoskeletal (MSK)

Case 1 - 20-year-old female presents with left hip pain

Case 2 - 33-year-old weight lifter with anterior shoulder pain and popping

Case 3 - 15-year-old female with dorsal soft tissue mass

Case 4 - 26-year-old male presents with anterior knee pain

Case 5 - 15-year-old male with elbow pain for two months

Case 6 - 43-year-old female with ankle pain and paresthesia

Case 7 - 33-year-old female with mass in palmar area

Case 8 - 6-year-old with generalized muscular pain and swelling

Case 9 - 53-year-old male has left knee pain since a fall at work

Case 10 - 29-year-old male reports with left midfoot pain

Course Evaluation

Post-Course Activities

This Power Pack is comprised of 10 unique MSK MRI cases that you can scroll through in our diagnostic web viewer to determine your findings. Quiz yourself and earn CME.

Musculoskeletal (MSK) MRI Cases

<div><figure class="wp-block-image"><img src="https://process.fs.teachablecdn.com/ADNupMnWyR7kCWRvm76Laz/resize=width:750/https://www.filepicker.io/api/file/OW9wMqX2Q3OoMnXc1KxN" alt="Wrist 1.png"></figure>MOST LIKELY DIAGNOSIS: Ganglion pseudocystThis is a 15-year-old female with a dorsal soft tissue mass. You are shown two images, a short-axis T1-weighted spin echo (image 1) and a short-axis T2-weighted spin echo image (image 2).There really is not a differential diagnosis. So a more challenging question is: where does such a lesion normally occur in the wrist?CLINICAL CONSIDERATIONS:The diagnosis is Ganglion pseudocyst. It is true that the signal intensity of a cystic schwannoma, myxoma and epidermoid could be similar but all of these diagnoses are implausible in a 15-year-old. In generating a report, none of these should really be proposed. The most common locus for ganglion pseudocyst in the wrist is directly atop or dorsal to the scapholunate capsule (paired arrows). The ganglion is highlighted with single arrows.The second most common location is the palmar aspect of the scapholunate capsule and region of the radioscaphocapitate ligament. While these lesions can be decompressed with a needle or by slamming them with a book (a little bit unpleasant) they often recur and require resection with repair of the deficient capsule. For those of you with a religious bent, a heavy bible can be used to smash these. For those of you with a political bent, you can try smashing it with a copy of the U.S. Constitution.</div>

Case